{include file="public/header"/}
{include file="public/navleft"}
<div class="tpl-content-wrapper">
    <div class="tpl-content-page-title">
        wswDrugresistance微生物
    </div>
    <ol class="am-breadcrumb">
        <li><a href="{:url('index/index')}" class="am-icon-home">首页</a></li>
        <li><a href="#">表单</a></li>
        <li class="am-active"></li>
    </ol>


    <form action="{:url('Instrument/wswDrugresistanceImport')}" method="post" class="form form-horizontal" enctype="multipart/form-data" id="addform" class="am-form" data-am-validator>
    <div class="tpl-portlet-components">
        <div class="layui-fluid">
            <div class="layui-row layui-col-space10">
                <div class="layui-col-md10">
                    <div class="layui-card">
                        <div class="layui-card-header"></div>
                        <div class="layui-card-body">

                            <div class="layui-form" wid100 lay-filter="">
                                <div class="layui-form-item">
                                    <label class="layui-form-label" style="width: auto;" >流水号 </label>
                                    <div class="layui-input-block">
                                        <input type="text" name="ybbh" value="" class="layui-input">
                                    </div>
                                </div>
                        </div>
                            <label class="layui-form-label" style="width: auto;" >耐药选择 </label>
                      <br>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value=""> ***为空**</font>
                                </label>
                            </div>


                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="MRSA：耐甲氧西林金葡菌"> ***MRSA：耐甲氧西林金葡菌</font>
                                </label>
                            </div>


                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="ESBLS ：产超广谱β内酰胺酶菌" > <font color="#6495ed">
                                    ***ESBLS ：产超广谱β内酰胺酶菌</font>
                                </label>
                            </div>


                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="CRE:耐碳青霉烯肠杆菌">***CRE:耐碳青霉烯肠杆菌
                                </label>
                            </div>


                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="CR-AB:耐碳青霉烯鲍曼不动杆菌" > ***CR-AB:耐碳青霉烯鲍曼不动杆菌
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="CR-PA:耐碳青霉烯铜绿假单胞菌" >***CR-PA:耐碳青霉烯铜绿假单胞菌
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="MDR:多重耐药" >***MDR:多重耐药
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="XDR:泛耐药" >***XDR:泛耐药
                                </label>
                            </div>


                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="PDR:全耐药" >***PDR:全耐药
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="MRCNS:耐甲氧西林凝固酶阴性葡萄球菌" >***MRCNS:耐甲氧西林凝固酶阴性葡萄球菌
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="VRSA:耐万古霉素金葡菌" >***VRSA:耐万古霉素金葡菌
                                </label>
                            </div>

                            <div class="am-checkbox" style="margin-left: 26%">
                                <label>
                                    <input type="checkbox"  name="AC[]" value="VRE:耐万古霉素肠球菌" >***VRE:耐万古霉素肠球菌
                                </label>
                            </div>

                        </div>
                        <div class="layui-form-item">
                            <div class="layui-input-block" style="margin-left: 40%">
                                <button class="layui-btn layui-bg-blue " lay-submit lay-filter="set_website">确认保存</button>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
    </form>
</div>
</div>
{include file="public/footer"/}